Abstract PR07: Racial differences in financial toxicity among metastatic breast cancer patients

Autor: Cleo A. Samuel, Jennifer C. Spencer, Michelle L. Manning, Donald L. Rosenstein, Katherine E. Reeder-Hayes, Jean B. Sellers, Stephanie B. Wheeler
Rok vydání: 2020
Předmět:
Zdroj: Cancer Epidemiology, Biomarkers & Prevention. 29:PR07-PR07
ISSN: 1538-7755
1055-9965
DOI: 10.1158/1538-7755.disp18-pr07
Popis: Background: Awareness of the significant financial burden and distress that cancer patients experience (i.e., “financial toxicity”) is gaining traction in the oncology community. While racial differences in cancer care are well documented, less is known about racial variations in the financial impact of cancer care, particularly among patients with costly incurable disease. Using data from a national survey of racially diverse patients with metastatic breast cancer, we examined racial/ethnic patterns in financial burden due to cancer. Methods: We partnered with the Metastatic Breast Cancer Network to conduct a 20-minute online survey of metastatic breast cancer patients over a 2-week period in 2018. Study participants responded to items assessing sociodemographic characteristics, communication with providers regarding costs, financial distress, strategies for managing cancer-related costs, and emotional well-being. We evaluated and compared financial outcomes among Hispanics, non-Hispanic Blacks, and non-Hispanic Whites. Results: Our analysis included 1,119 respondents from 41 states, including 214 Hispanics (19%), 130 non-Hispanic Blacks (12%), and 775 non-Hispanic Whites (69%). Compared with non-Hispanic Whites, Hispanics were more likely to report refusing or delaying treatment due to costs (81% vs. 41%, p Conclusions: Racial/ethnic differences exist in financial burden among metastatic breast cancer patients, with patients of color experiencing more financial harm than their White counterparts. Given the negative impact of financial strain on patient well-being and treatment decision-making, and longstanding disparities in cancer outcomes, equity must be a guiding principle in strategies aimed at addressing financial toxicity in cancer patients. This abstract is also being presented as Poster B024. Citation Format: Cleo A. Samuel, Jennifer C. Spencer, Michelle L. Manning, Donald L. Rosenstein, Katherine E. Reeder-Hayes, Jean B. Sellers, Stephanie B. Wheeler. Racial differences in financial toxicity among metastatic breast cancer patients [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr PR07.
Databáze: OpenAIRE
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